| Regimental number | 10436 |
| Place of birth | Dimboola Victoria |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | 72 Dover Road, North Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Kitchen, 72 Dover Road, North Williamstown, Victoria |
| Enlistment date | 3 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 2 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 20 March 1919 |
